Individual
LYNETTE B ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30966 SE JUDD RD, EAGLE CREEK, OR 97022-9750
(503) 806-5414
Mailing address
30966 SE JUDD RD, EAGLE CREEK, OR 97022-9750
(503) 806-5414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5401
OR
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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